Individual provider · Type 1 NPI

Stacy Renee Black

Mental Health Counselor · Acworth, GA

NPI number 1063382299 Active

Practice location

3950 Cobb Pkwy NW Ste 501
Acworth, GA 30101-9529

Call (404) 536-8299 Map

Mailing address

593 Mount Gerizim Rd SE
Mableton, GA 30126-6406

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

3 other providers at this address

Other mental health counselor providers in Acworth

See all in Acworth →

About NPI 1063382299

Stacy Renee Black's National Provider Identifier is 1063382299, issued on Nov 11, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Acworth, GA. The record was last updated on Nov 11, 2025.